"Mer, Honey, Dr. Lee has the results," Derek presses a kiss to my forehead as my eyes flutter open. "Der..." I look up holding a hand on my stomach and reaching out for the bucket. "Here," he quickly hands me it as I dry heave into it. A tear rolls down my cheek as I shiver and break into a cold sweat. Derek secures my hair away from my face as I curl over the bucket moaning. "It won't...stop," I hiccup heaving out more. I rest back against the bed, wiping my face with the back of my hand.

"Dr. Lee takes my bucket and throws it out. "Meredith we can start you on medication because you definitely have a case of Hyperemesis Gravidarum, and also your hormone levels are elevated slightly higher than what a normal quintuplet pregnancy would be at this far which could mean a number of things. You could be expecting another baby or you could just be further along than anticipated," she smiles. "I'm going to give you a few minutes to process this all and then I'll be back to get all the babies on the monitors I'm bringing down a sixth monitor just in case," she walks out as I start crying.

I look over at Derek as the tears stream down my face and he gets up to hug me. "Meredith Sextuplets!" He smiles wiping my eyes as I wipe away his tears. "I can't believe this wow! Sextuplets how crazy!" I cry hugging him tightly as he nods. "You are going to be the best daddy ever to all eight of our babies," I grin as he holds my cheeks and kisses me. "I love you so much Meredith and our little baby," he rubs my stomach. He leans in to kiss my lips, but I hold him away. "Der don't kiss me I've been throwing up," I laugh wiping his eyes and cheeks. "I don't care Meredith, we are having a probably sextuplets," he smiles pressing his lips against mine. He pulls back and presses his lips against my forehead and moves my gown up.

"Hello babies. Mommy and I are so happy that you are safe inside mommy's belly and nothing is seriously wrong! You just have another friend in there," he presses a kiss to my belly and pulls the gown back down. "I love you Der and our babies," I smile kissing his lips as he sits back up. He takes our hands and rests them on my belly. "Hello," Dr. Lee smiles walking back in, "Everyone happy?" She laughs sitting down on the stool as we both nod our heads. "Good in order to get you on your way out I want to do a vaginal ultrasound that way we can see how many babies you are having."

"Really you do think sextuplets?" I ask surprised as the hormone injections and Clomid must have really worked. "Well your hCG level is 32,264, so right now I can tell you that you are either having quintuplets like your doctors have said or sextuplets from my experience. Of course if you are we have specialist here who can talk to you or you can just contact your regular doctor," she tells us as she washes her hands. "Also with the concern of you having Hyperemesis Gravidarum, they will be monitoring you throughout your pregnancy."

"Now I will just need you to open your legs so we can take a look at your babies," she smiles pulling the ultrasound machine over to her side and sitting on the side of my bed as Harper straps on the heart beat bands around my belly to get their heart beats on the screen too. Derek sits in the chair on the opposite side and holds onto my hand as I give him a reassuring smile. Dr. Lee squirts the gel on the transducer as she moves the blankets and my gown out of the way. "Okay unfortunately this is going to be very cold, but you get to see your babies," she turns the screen on and pushes the transducer up into me. I shiver out and stare at the screen as she moves the transducer up and over in me. "Okay, so you have a little endometriosis tissue that I'm sure your doctors will talk later about. Now right over here is Baby A, and Baby B right here is...Baby C...and behind them is Baby D and Baby E is very low, and look right here at the others feet there is Baby F! Congratulations you are having sextuplets. They look perfect. Let me print you out copies and I can get it on a CD too if you would like?" She asks pulling the transducer out of me.

Derek nods as I'm at a lost for words, "Okay I'll run and get you all of them along with more prenatal vitamins," she smiles saving the picture and writing more into my chart. "Thank you," I smile tears flowing down my face, "We are going to have sextuplets!" I cry sitting up and hugging Derek tight. "Not five but, gosh...sextuplets we are going to next year be a family of ten," I smile as Derek wipes my eyes. "I know we are going to walk out of the hospital with six babies, but right now all that matters is we have six healthy babies inside of you. You have to keep them in your belly for as long as you can," he rubs my belly kissing it six times.

"Ahhh I love you munchkins so much," I smile resting my hand over Derek's head. "I love our six little musketeers," Derek laughs as I run my fingers through his hair. "We still can't tell anybody until I get to twelve weeks," I smirk as Derek nods. "It's going to be hard not to do that today, to tell mom and the sisters," I say. "I just want to shout it from the rooftop," he smiles as as more tears fly out of my eyes. "I can't wait until we can, we have to think of a big way to tell them," I giggle.

"Okay," he murmurs as I clutch onto his hair and breath him in. Dr. Lee comes back in with an envelope, "Here are the pictures and here is the CD. Now take four prenatal vitamins everyday. And here is Zofran for the Hyperemesis Gravidarum take a half of pill when you feel it come on, when you are already going through it take the full pill. Only take two pills a day or less.

"Der I need the bucket," I frown as my face turns pale and he hands me the bucket as I pull my feet up to my chest. I heave into the bucket holding my stomach as I rub circles around my belly trying to calm it down. Derek places a washcloth on my cheek as I feel my face heating up. I dry heave a few more times and lay back against the bed. "Mmm all this will pay off when I have six little babies to hold," I sigh as Derek gently presses it against my face to bring my temperature down. "Yes it will, hopefully it wears off when you get into your second trimester," Derek says placing his hand on my knee. "Hopefully," I grin.

"Now I can take your IV out because you are hydrated, today I want you to rest and try to eat, a few pretzels or saltines, if you can stomach it try a few noodles in broth and also gram crackers may help. Mint Chapstick and gum may be your best friend for the next couple of weeks. A heating pad may help with your stomach stretching too and for the soreness in your breasts just wear soft bras nothing too tight. Smells may also get to you if they have not already, so be careful of that when going out to eat too."

"Lastly, if you are in serious pain or have not eaten more than a cracker in 6 hours or drank anything within those hours as well come to the emergency room immediately because we do need to nourish and hydrate you and the sextuplets. Also if you are spotting, bleeding or cramping call your doctors and then come to the ER, alright?" She asks handing me pamphlets and paperwork. "Okay thank you," I smile as she takes my IV out and covers the site with a bandage. "Alright you are discharged, congratulations again have a great rest of your day!" She says walking out.

Derek hands me my clothes and unties the gown for me. "Thanks," I smile as I pull on my panties and sweatpants. He kisses my lips and hands me my bra which he helps put on, gently covering my sore breasts. I throw on my shirt and sweatshirt and move onto the side of the bed to put my shoes on. "Here I got them," Derek says slipping the sneaker on my foot and tying it. "Practicing for when I can't reach my feet?" I giggle as he ties my other shoe, "Exactly," he nods helping me up with all the papers and the bottle of vitamins.

"Here's your bag I'd put everything in there so hopefully nobody sneaks into your bag and sees the pictures," he holds open my purse as I put the papers and vitamins inside and zip it up. "Let me brush my teeth," I get up walking over to the small sink to brush the vomit breath away. "Alright it's eight twenty, we have plenty of time before the party," Derek takes out his phone as I wipe my mouth. "Okay let's go," I take his hand as he guides us out of the now busy ER.

I rest my hand on my belly and smile looking down now knowing there are six babies inside of me. "Stay here I'll give them our ticket," Derek kisses my cheek and runs outside into the cold to hand the man the ticket to get our car and pay for it. "It should be here soon," he comes back in taking my hand threading his through and laying our hands on my belly. "I can't stop smiling and doing this," I giggle leaning back into Derek's chest. "I don't know how we are going to stay quiet for another 2ish weeks. What do we say when we get home now? That I just have a stomach bug?" I ask Derek as our car pulls up. "Yeah I would say that so everyone knows you aren't feeling well and if you get sick again it's because of the bug," he agrees guiding me through the automatic doors and opening my car door.

"But tomorrow I'll be sick again, so should I just say the doctors aren't sure and they will call later to give us the results?" He nods, "That sounds good, I just need you to promise me that if you aren't feeling good that you will sit back and rest. The babies need you to eat and drink," he puts the car into drive and starts going. "I know I'll try not to push myself and hopefully food will stay down," I smile rubbing my belly. "You keep on rubbing your little belly, just make sure at home you don't do it," he laughs kissing my hand. "I know I'll forget, but I think Sarah and Logan will be a good distraction for everybody so the attention won't be on us anyway," I smirk as he pulls onto the street.

I look out at the window watching as the cars swirl past us and look back in the car and over to Derek, "What happened you're ghostly pale?" He asks as I open a trash bag and lean over throwing up. "Dizzy," I mumble as I try to take in a few deep breathes. Derek grasps my hand as I keep throwing up, coughing into the bag. "Something smells in here," I wrinkle my nose as Derek looks around in the car, "Hmm could be my running shoes from the gym," he mutters moving them under the seat as I throw up more. "They smell horrible," I gag. "Sorry I'll take them out of the car," he says as I lean back and groan. He smiles holding my hand and pulling up into our driveway. I smile when I see the big banner that reads, "Happy First Birthday Sarah and Logan," it hangs off of our fence along with the balloons tied to the mailbox in blue and pinks. "I can't believe we made it a year with them," I smile wiping my eyes as I start crying again.

"Well I don't think people will think the crying is from your hormones, instead from being one awesome loving mommy," Derek parks the car in the garage and leans over to kiss my cheek. "It's okay Sweetie, Sarah and Logan are doing great because of you," he says unbuckling and opening his door. "Come on, are you ready?" He asks coming around to my side as I wipe my eyes. "Yeah, it's just hard seeing them grow up so quickly," I grin stepping out of the car. "I agree," he nods kissing my forehead and opening the house door.

"Hey Mer! Sarah and Logan are still sleeping, but I'm going to get them in a few minutes. How was the hospital? Did they help you or figure out what's wrong?" Izzie asks, placing the cupcakes on a tray we bought that is in shape of a caterpillar. "Um well they are unsure of what is wrong, but they hydrated me and ran a few tests. They think it might be a stomach bug," I shrug going into the den to lay down. "Aww well you rest, the caterers should be coming at 12:30 to set up. Mark went out to pick up ice and Callie ran to get the cakes, everyone else is still sleeping," she says washing the cupcake pan out and putting it in the dishwasher.

"Mer do you want some saltiness or gram crackers? Maybe that will sit in your stomach," Derek says draping a blanket over my curled up body. "Okay, I'm just tired, wake me up when you get Sarah and Logan to wake up, I want to be there to sing happy birthday to them as they wake up," I yawn. "Alright Mer, just get some sleep and I'll have the food waiting for you when you wake up," he leans down to kiss me and gently rubs my belly as I rest my hand on my belly to sleep.

"Honey it's nine thirty, Sarah and Logan are whimpering, do you want me to go get them and bring them down to you?" Derek asks handing me a plate of crackers. "Mmm yeah, bring them down, and a bucket just in case please," I mumble wiping my eyes and stretching a little as Derek heads upstairs.

"Morning Mer, how do you feel?" Cristina asks plopping down on the couch with a book in her hand. "Okay I'm just sore and can't seem to stop throwing up," I shrug yawning again. "Here is the birthday girl and boy!" Derek smiles carrying Sarah and Logan on his hip and holding in his hand a bucket. "Happy Birthday my little babies! I can't believe you are one today!" I reach up to grab Sarah and give her a big kiss and hug. "How is my birthday girl huh?" I smile kissing her face as she laughs.

"Logan Happy Birthday mister man! My little babies are growing up way too fast!" I reach up and pull him into a hug as I attack his face with kisses. "What am I going to do with myself? I have such cute kids," I grin as they both laugh. Derek sits down next to me placing the bucket on the coffee table and handing Sarah and Logan a wrapped present. "Happy birthday my sweet babies," I gently stroke their cheeks as they each hold onto their present. "Can you open the present? Rip a piece of the paper off," Derek shows them as we each take there hand and guide them, showing them how to unwrap the gift. Sarah starts peeling it off in little pieces as everyone gathers in the den to watch them.

"I got the cake it looks gorgeous!" Callie smiles taking a seat on the carpet. "Thanks Cal, I can't wait to see it," I smile. "The ice is in the coolers all ready," Mark sits down on the couch as Izzie comes in with the video camera. "Logan likes the paper more than anything," Derek laughs as George opens a trash bag to put the wrapping paper in. Logan has ripped longer pieces off and balls it up in his hands unsure about it as he sets it down and rips a piece again.

"He is unsure of the paper!" Alex laughs watching him go. "Sarah come on rip the pieces longer," I guide her hand to make the pieces longer which makes her smile and giggle. "Oh she is so cute I could eat her up," Lexie laughs as I peel more of the wrapping paper off so we can get to the gift. "Look you want to see the gift?" I ask her kissing her forehead as she looks up at me, "Come on princess let's open your gift," I smile opening the box for her as she smiles and points at the doll. "You like the baby doll Sarah?" I ask untying the ties around the doll's arms and legs. "Here you go the Baby for my little baby," I smile watching as she hugs the doll to her chest.

I look over and see Logan is still peeling the wrapping paper off his gift. "Logan you want to see what's inside?" Derek asks pushing the paper off and opening the big box to the fire truck. Logan presses on the yellow button and the sirens go off. Logan's face lights up and he starts clapping immediately and Derek places him down on the floor with the truck so he can play. "You like the firetruck Logan?" I ask as he looks up and smiles. Sarah crawls into my lap and stands herself up and wraps her arms around my neck. "Ohh Sarah I love you little girl more than this world," I smile picking her up and rubbing her back as she hugs her doll. "Happy Birthday my sweet girl, I love you so much," I hug her as Izzie smiles getting it on video. "I think they are already distracted and they just got to one gift," Owen laughs standing up to reach for his water on the table. "I know, this may take hours," Derek laughs watching as Logan plays with his truck.

"Lexie can you hold her, I don't feel so good..." I trail off passing Sarah to Lexie who hugs her as I get up to run into the bathroom. "Mer I'm right behind you," Derek says as I drop down on my knees and start throwing up into the toilet. He rubs my back as I lean back holding my stomach, "You done?" He asks as I start taking nice easy breaths and I shake my head. "No, I don't think so," I moan leaning forward over the toilet to empty my stomach again as it flips. Derek massages my lower back while holding my hair as my stomach clenches and comes undone. I hang my head over the bowl trying to take a few breathes to settle my stomach which doesn't do me any good and I start heaving again.

I lean my tired body back against the wall, holding onto my stomach. Derek hands me a wet washcloth to wipe my face up, "You think you're done now?" He asks sitting down next to me and holding my hand as I wipe my face. "Hopefully, I just want to get through their party without puking," I sigh resting my head against his chest. "Maybe the babies will be nice and not make you throw up," he smiles kissing my head as I nod taking deep breathes. "That would be nice of them," I mumble resting my hand on my belly. "Did I get bigger or is it all in my head?" I ask Derek, raising my shirt up over my belly. "Well your boobs got fuller, I noticed that, and you have a tiny belly only you and I could tell," he smiles stroking my belly. "I thought my boobs were bigger and sorer to, and then I got my little belly," I laugh taking Derek's hand and hold it over my belly.

"It's going to be hard not to tell everyone," he says getting up and pulling me up. "I know since everyone is here, but I don't want anything to happen," I squeeze his hand while rinsing my mouth with mouthwash. "Eww that smells horrible," I cover my nose holding back the urge to throw up. "Let's try some crackers," He suggests taking my hand and helping me over to the den. "Feel any better?" Izzie asks as I drop on the couch. "Not really, my stomach is just swirling," I place a hand over my belly and curl up next to Derek. "Here take a bite of the cracker, you have nothing in you to even throw up," Derek hands me the saltine and I take a small bite. "Maybe the saltiness will help, have you been drinking water, you can't be dehydrated," Lexie hands Sarah over to Izzie who is playing with her doll. "They hydrated me at the hospital," I say holding onto my belly.

"Good so try eating and if you keep that down than you are making progress, hopefully it's not as bad during the party," Callie smiles, "Yeah I won't be eating anything besides crackers today," I laugh. "On the day you hire the best caterer and you can't even eat the food! We will save you some," Alex laughs, "Yeah and the best baker to do the cake," George says, I nod, "Yup just my luck, hopefully there will be leftovers," I tell them.

"Should we bring more gifts in here or let them play?" Izzie asks me, "Uh let's get them breakfast and then we can go back to gifts," I suggest standing up, taking Logan off the floor. "My birthday boy ready to eat?" I ask holding him on my hip and walking into the kitchen. "What do you want to feed them?" Mark asks opening the fridge, while I strap in Logan. "Peaches I think we have and cereal," Derek says sliding the tray overtop of Sarah. I fasten birthday bibs around their necks and a party hat around their head as they both look at my curiously as Izzie and I take pictures of them, "Smile!" I say, "Oh Mer they are precious!" Callie smiles as Cristina hands Derek a spoon, "Peaches and cereal it is," Mark announces setting the bowls down. We thank him and get started feeding them once the photoshoot is done.

"Open your mouth Sar, you want cereal?" I prop her putting the spoon up to her lips as she opens her mouth wide. "Good job princess," I feed her more as she holds onto the spoon wanting to feed herself. "You want to try? Go ahead let's put some cereal on your spoon...now open your mouth for the cereal," I smile watching her slowly stick it in her mouth and putting her hand up to her face. "No you don't need your hand in your mouth," I laugh as she holds the spoon and feeds herself again. "Good girl," I clap looking over to see Izzie taking pictures of her messy face as she feeds herself.

"Look at our boy feeding himself, he sure likes to keep it messy," Derek laughs watching Logan feed himself. "Good job Logan!" I cheer laughing at his messy face and hands as he dips the spoon back into the cereal. "All gone, it's time for peaches," I switch Sarah's bowl and watch her start to put the smashed peaches on her spoon and feed herself. "You like the sweet peaches?" I ask her as her face scrunched up and she smiles. "Someone likes peaches!" I kiss her forehead watching her.